Péritonite bactérienne spontanée

Prophylaxie

• Si saignement de varice oesophagienne
  • Ceftriaxone/ciprofloxacine durant 7 jours
  • Permet d'éviter
• Si patient à haut risque de PBS

Criteria for patients at high risk include an ascitic-fluid total protein level less than 1.5 g/dL (15 g/L) in conjunction with any of the following: serum sodium level less than or equal to 130 mEq/L (130 mmol/L), serum creatinine level greater than or equal to 1.2 mg/dL (106.1 µmol/L), blood urea nitrogen level greater than or equal to 25 mg/dL (8.9 mmol/L), serum bilirubin level greater than or equal to 3 mg/dL (51.3 µmol/L), or Child-Turcotte-Pugh class B or C cirrhosis.

Traitement

• Si critères de PBS présents

• Pas d'indication à la perfusion d'albumine